Health and Human Services

Nevada spent $11.6 billion on Health and Human Services in FY2026 — 89% of a $13.1 billion budget. It is the largest of the state's 8 functions: about half of all state spending.

That is 4.2% more than in FY2025 ($11.1 billion), not adjusted for inflation.

Spent FY2026: $11.60 billion$11,603,317,412
Budget FY2026: $13.06 billionBudget covers 135 of 136 budget accounts.
Share of budget spent: 89%Spent ÷ budget
Change from FY2025: +4.2%FY2025: $11.13 billion

46.6% of Nevada spending.

Spent each year, FY2006 onwards · dashed line: budgetHistory follows the budget accounts in this function in FY2026, looked up by code in every year.

Show the numbers

Spent and budget each fiscal year
Fiscal year	Spent	Budget
FY2006	$2.75 billion	Not available
FY2007	$2.74 billion	Not available
FY2008	$2.89 billion	Not available
FY2009	$3.08 billion	Not available
FY2010	$3.31 billion	$3.56 billion
FY2011	$3.43 billion	$3.67 billion
FY2012	$3.39 billion	$3.76 billion
FY2013

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Year

Compare with

Where the money went

Explore Health and Human Services by department: select a block to go a level deeper, or switch views. Totals leave out reserves, pass-through accounts and money paid on to other state accounts.

Budget vs spent, by department

3 departments. The largest, Nevada Health Authority, accounts for 81% of the total.

Departments of Health and Human Services, FY2026
Department	Spent FY2026	Budget FY2026	% of budget spent	Share
Nevada Health Authority	$9.42 billion

FY2014	$3.96 billion	$4.26 billion

FY2015	$4.96 billion	$5.55 billion

FY2016	$5.27 billion	$5.61 billion

FY2017	$5.68 billion	$6.16 billion

FY2018	$6.00 billion	$6.52 billion

FY2019	$6.37 billion	$6.75 billion

FY2020	$6.41 billion	$7.11 billion

FY2021	$6.24 billion	$8.24 billion

FY2022	$8.31 billion	$9.19 billion

FY2023	$8.77 billion	$10.26 billion

FY2024	$7.85 billion	$10.46 billion

FY2025	$11.13 billion	$12.59 billion

FY2026	$11.60 billion	$13.06 billion

FY2027	See note	$11.88 billion

Department of Human Services	$1.97 billionof $2.46 billion	$2.46 billion	80%	17.0%

Department of Employment, Training & Rehab	$220 millionof $252 million	$252 million	87%	1.9%

Spent each year by departments
Fiscal year	Nevada Health Authority	Department of Human Services	Department of Employment, Training & Rehab	Budget
FY2006	$1.59 billion	$1.08 billion	$82.3 million	—
FY2007	$1.77 billion	$885 million	$81.6 million	—
FY2008	$1.87 billion	$934 million	$85.1 million	—
FY2009	$2.01 billion	$971 million	$100 million	—

Funding sources by group and revenue ledger code, FY2026 budget
Group	Revenue ledger	Legislature approved	Current budget
Federal funds	$6.08 billion	$7.55 billion
FF	3511 Fed Title XIX Receipts	$5.08 billion	$6.20 billion
FF	3500 Dept of Defense Funds	$0	$200 million
FF	3501 Fed Title XXI Receipts	$111 million	$115 million
FF	3583 Fed Child Care Discretionary	$79.3 million	$89.9 million
FF	3569 Fed Usda WIC Program

Group

Revenue ledger

Legislature approved

Current budget

Federal funds

3511 Fed Title XIX Receipts

3500 Dept of Defense Funds

3501 Fed Title XXI Receipts

3583 Fed Child Care Discretionary

3569 Fed Usda WIC Program

Budget journey for FY2026: each step and the running total
Step	Amount	Running total
Governor recommended	$11.33 billion	$11.33 billion
Changes made by the Legislature	−$237 million= $11.09B	$11.09 billion
Legislature approved	$11.09 billion	$11.09 billion
Accounts outside the operating budget	+$215 million= $11.31B	$11.31 billion
Federal money added after the session	+$1.28 billion= $12.59B	$12.59 billion
Money carried over from earlier years	+$159 million= $12.75B	$12.75 billion
Other changes after the session	+$316 million= $13.06B	$13.06 billion
Current budget	$13.06 billion	$13.06 billion

FY2010	$2.15 billion	$1.01 billion	$138 million	$3.56 billion

FY2011	$2.27 billion	$1.01 billion	$146 million	$3.67 billion

FY2012	$2.27 billion	$959 million	$161 million	$3.76 billion

FY2013	$2.45 billion	$993 million	$170 million	$3.99 billion

FY2014	$2.77 billion	$1.04 billion	$152 million	$4.26 billion

FY2015	$3.76 billion	$1.08 billion	$125 million	$5.55 billion

FY2016	$4.02 billion	$1.13 billion	$123 million	$5.61 billion

FY2017	$4.39 billion	$1.17 billion	$118 million	$6.16 billion

FY2018	$4.65 billion	$1.22 billion	$125 million	$6.52 billion

FY2019	$4.94 billion	$1.30 billion	$131 million	$6.75 billion

FY2020	$4.93 billion	$1.35 billion	$131 million	$7.11 billion

FY2021	$4.70 billion	$1.39 billion	$155 million	$8.24 billion

FY2022	$6.37 billion	$1.77 billion	$170 million	$9.19 billion

FY2023	$6.86 billion	$1.73 billion	$176 million	$10.26 billion

FY2024	$6.06 billion	$1.64 billion	$153 million	$10.46 billion

FY2025	$8.85 billion	$2.06 billion	$220 million	$12.59 billion

FY2026	$9.42 billion	$1.97 billion	$220 million	$13.06 billion

FY2027	—	—	—	$11.88 billion

General Fund

2501 General Fund Appropriation

2522 Supplemental Appropriations

Medicaid rebates and provider taxes

4218 Drug Rebate

4108 Mco Enhanced Rates

3337 Long Term Care Provider Tax

4101 Unmet Freecare Obligations

4218 Ppo RX Rebates

4104 Receipts County Inpatient Upl

4106 Receipts From County Gme

4103 Receipts From Practitioner Upl

4107 Receipts County Outpatient Upl

Property and school support taxes

3330 Centrally Assessed Property TX

3320 Real Property Taxes

3321 One Cent Ad Valorem Tax

Fees, licences and tuition

3601 Licenses and Fees

4280 Wage Assessment

3601 Per Member Per Month (Pmpm) Fees

3601 Telecom Fees

3601 Health Facility Licenses/Fees

3305 Assessments

4275 Telephone Surcharge

3605 Rad Material & X-Ray Fees

3605 Office of Vital Record Fees

3740 Business Enterprise Prog Fee

3713 Medical Lab Certification Fees

3728 Health Cost Containment Fee

3722 Miscellaneous Fees

3601 Patient Licenses and Fees

3602 Licenses and Fees

3340 Child Support Fees

3739 Filing Fee - Displaced Homemaker

3602 Sb130 Rad Control Tec LIC Fees

3802 Social Security Admin Fees

3739 Filing Fee

3706 Burial Fee - Non Radioactive

3729 Audit Fees

3730 Cpe Audit Fees

3611 Child Care Facility Licenses

3704 Investigation Fees

…and 7 smaller lines (all in the CSV)

Interim Finance allocations

4654 Transfer From Interim Finance

Mining, lodging and other state taxes

3317 Liquor Tax

Everything else

4103 County Reimbursements

4326 Treasurer's Interest Distrib

4287 Opioid Settlement Funds

4758 Transfer From Treasurer

4218 Rebates

4218 Rebate

4101 RTC Reimbursements

4156 Penalties

4747 Trans From Disaster Relief Fund

3340 Universal Energy Charge-Uec

4250 Victims of Domestic Violence

4101 County Participation Funds

4209 Recoveries

4261 State Share of Collections

4355 Ncu Premiums

4205 Food Stamp Reimbursement

4152 Fines/Forfeitures/Penalties

4270 Commissions

3802 Patient Collections

4200 Private Insurance Charges

4356 Katie Beckett Premiums

3802 Client Charge

4265 Wicshopper Grant

4105 School District Reimbursements

4216 Ssa Reimbursement

…and 38 smaller lines (all in the CSV)

Moved between state accounts · not new money

4753 Transfer From Drug Rebates

4756 Trans From Ba 3177

4325 State Subsidies

4542 Receipts Active Employees Insurance Premiums

4750 Trans From Igt Account

3861 Title XIX - Waiver

4611 Transfer in Fed Arpa

4323 State Employee Premium

3872 Title XIX Medicaid 50/75/90

4514 Retired Employees Group Insurance

4752 Trans From LTC Provider Tax

4691 Trans 1.5 Cent From 3244 Ihc

4751 Transfer DHHS - Iaf County Indigent

4321 Non State Subsidy

4232 Cost Allocation Reimbursement

3860 Medicaid Fmap

4669 Trans From Other B/A Same Fund

3864 Medicaid Admin Charges

4230 Cost Allocation

3861 Title XIX - Medicaid Admin

4750 Trans From DHHS - Director

4669 Trans From Dir Private Upl

4231 Cost Allocation Reimbursement - B

3860 Title XIX - Icf/Id

4653 Transfer From Employment Security

…and 133 smaller lines (all in the CSV)

Carried over from last year · not new money

2511 Balance Forward From Previous Year

2520 Federal Funds From Previous Year

General Fund		$2.17 billion	$2.16 billion
GF	2501 General Fund Appropriation	$2.17 billion	$2.16 billion
GF	2522 Supplemental Appropriations	$0	$1.26 million

Medicaid rebates and provider taxes		$749 million	$856 million
OF	4218 Drug Rebate	$485 million	$525 million
OF	4108 Mco Enhanced Rates	$93.4 million	$120 million
OF	3337 Long Term Care Provider Tax	$51.9 million	$51.9 million
OF	4101 Unmet Freecare Obligations	$26.4 million	$49.0 million
OF	4218 Ppo RX Rebates	$44.6 million	$44.6 million
OF	4104 Receipts County Inpatient Upl	$24.9 million	$30.2 million
OF	4106 Receipts From County Gme	$10.9 million	$19.2 million
OF	4103 Receipts From Practitioner Upl	$8.95 million	$12.2 million
OF	4107 Receipts County Outpatient Upl	$3.19 million	$3.82 million

Property and school support taxes		$434 million	$567 million
OF	3330 Centrally Assessed Property TX	$399 million	$522 million
OF	3320 Real Property Taxes	$24.1 million	$24.7 million
OF	3321 One Cent Ad Valorem Tax	$10.9 million	$20.6 million

Fees, licences and tuition		$86.0 million	$132 million
OF	3601 Licenses and Fees	$1.16 million	$32.3 million
OF	4280 Wage Assessment	$25.5 million	$25.5 million
OF	3601 Per Member Per Month (Pmpm) Fees	$17.0 million	$20.8 million
OF	3601 Telecom Fees	$14.1 million	$15.8 million
OF	3601 Health Facility Licenses/Fees	$10.5 million	$10.5 million
OF	3305 Assessments	$280 thousand	$7.93 million
OF	4275 Telephone Surcharge	$4.60 million	$4.60 million
OF	3605 Rad Material & X-Ray Fees	$2.64 million	$2.90 million
OF	3605 Office of Vital Record Fees	$1.43 million	$1.69 million
OF	3740 Business Enterprise Prog Fee	$1.40 million	$1.59 million
OF	3713 Medical Lab Certification Fees	$1.40 million	$1.40 million
OF	3728 Health Cost Containment Fee	$1.25 million	$1.25 million
OF	3722 Miscellaneous Fees	$1.11 million	$1.11 million
OF	3601 Patient Licenses and Fees	$669 thousand	$669 thousand
OF	3602 Licenses and Fees	$0	$651 thousand
OF	3340 Child Support Fees	$607 thousand	$607 thousand
OF	3739 Filing Fee - Displaced Homemaker	$476 thousand	$476 thousand
OF	3602 Sb130 Rad Control Tec LIC Fees	$314 thousand	$441 thousand
OF	3802 Social Security Admin Fees	$204 thousand	$421 thousand
OF	3739 Filing Fee	$369 thousand	$369 thousand
OF	3706 Burial Fee - Non Radioactive	$180 thousand	$340 thousand
OF	3729 Audit Fees	$171 thousand	$171 thousand
OF	3730 Cpe Audit Fees	$168 thousand	$168 thousand
OF	3611 Child Care Facility Licenses	$85.2 thousand	$85.2 thousand
OF	3704 Investigation Fees	$77.7 thousand	$77.7 thousand
	…and 7 smaller lines (all in the CSV)

Mining, lodging and other state taxes		$1.31 million	$1.31 million
OF	3317 Liquor Tax	$1.31 million	$1.31 million

Health and Human Services

Where the money went

Budget vs spent, by department

Over time

Who pays for it

How the FY2026 budget got here

Notes

Interim Finance allocations		$0	$5.74 million
IF	4654 Transfer From Interim Finance	$0	$5.74 million

Everything else		$251 million	$262 million
OF	4103 County Reimbursements	$78.2 million	$88.2 million
OF	4326 Treasurer's Interest Distrib	$21.1 million	$35.1 million
OF	4287 Opioid Settlement Funds	$23.8 million	$24.9 million
OF	4758 Transfer From Treasurer	$24.2 million	$24.2 million
OF	4218 Rebates	$16.0 million	$16.0 million
OF	4218 Rebate	$14.6 million	$14.6 million
OF	4101 RTC Reimbursements	$6.38 million	$10.8 million
OF	4156 Penalties	$10.8 million	$10.8 million
OF	4747 Trans From Disaster Relief Fund	$0	$7.30 million
OF	3340 Universal Energy Charge-Uec	$6.82 million	$6.09 million
OF	4250 Victims of Domestic Violence	$5.24 million	$5.24 million
OF	4101 County Participation Funds	$2.91 million	$2.91 million
OF	4209 Recoveries	$2.27 million	$2.20 million
OF	4261 State Share of Collections	$4.44 million	$2.02 million
OF	4355 Ncu Premiums	$1.75 million	$1.75 million
OF	4205 Food Stamp Reimbursement	$1.03 million	$1.03 million
OF	4152 Fines/Forfeitures/Penalties	$989 thousand	$1.01 million
OF	4270 Commissions	$844 thousand	$984 thousand
OF	3802 Patient Collections	$981 thousand	$981 thousand
OF	4200 Private Insurance Charges	$782 thousand	$951 thousand
OF	4356 Katie Beckett Premiums	$0	$518 thousand
OF	3802 Client Charge	$447 thousand	$447 thousand
OF	4265 Wicshopper Grant	$0	$411 thousand
OF	4105 School District Reimbursements	$340 thousand	$340 thousand
OF	4216 Ssa Reimbursement	$212 thousand	$295 thousand
	…and 38 smaller lines (all in the CSV)

Carried over from last year · not new money		$462 million	$623 million
BF	2511 Balance Forward From Previous Year	$462 million	$587 million
BF	2520 Federal Funds From Previous Year	$0	$36.0 million